Individual provider Active NPI

Diana Yurk, PHD LP

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1275553281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
DY332570 Issued in MI
Practice address
26105 Orchard Lake Rd Ste 109
Farmington Hills, MI 48334-4577
Phone
(248) 615-2830
Fax
(248) 615-2824
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X DY332570 MI Primary

Addresses

Primary practice location

26105 Orchard Lake Rd Ste 109
Farmington Hills, MI 48334-4577

Mailing address

26105 Orchard Lake Rd Ste 109
Farmington Hills, MI 48334-4577
Phone (248) 615-2830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000149 MI Practitioner - Clinical Psychologist 9830198993 Practice locations: Royal Oak, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Royal Oak, MI 48067
Phone (313) 806-8137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DY332570MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nigar Yousuf M.D. PLC PastSince Jun 3, 2008 Accepting new patients
Psychology Associates of Michigan PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275553281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26105 ORCHARD LAKE RD STE 109",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344577",
            "telephone_number": "248-615-2830",
            "fax_number": "248-615-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26105 ORCHARD LAKE RD STE 109",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344577",
            "telephone_number": "248-615-2830",
            "fax_number": "248-615-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURK",
        "first_name": "DIANA",
        "credential": "PHD LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "DY332570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.